Nurses' perception about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases

Detalhes bibliográficos
Autor(a) principal: Quaresma, Adrieli dos Santos
Data de Publicação: 2020
Outros Autores: Xavier, Daiani Modernel, Bonow, Clarice Alves, Cezar-Vaz, Marta Regina
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/9907
Resumo: Objective: to know the perception of nurses about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases. Methodology: exploratory-descriptive study, with a qualitative approach. It was carried out with nurses working in adult inpatient units of a University Hospital in southern Brazil. Data collection took place from july to december 2018, through semi-structured interviews. The data were analyzed using the Thematic Content Analysis. Results: it was found that the nurses' perception of clinical reasoning was applied (in)consciously in care and management activities. Its purpose was self-reported in the qualification of care, patient comfort and prevention of complications. Conclusion: these findings are believed to be guiding instruments for questioning, analysis, synthesis, interpretation, inference, inductive and deductive reasoning, intuition, application and creativity for nurses' decision-making in care practices for adult hospitalized patients with chronic diseases.
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spelling Nurses' perception about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseasesPercepción de enfermeros sobre la aplicación y finalidad del razonamiento clínico en la atención de adultos hospitalizados con enfermedades crónicasPercepção de enfermeiros acerca da aplicação e finalidade do raciocínio clínico no cuidado ao adulto hospitalizado com doenças crônicasClinical Decision-MakingChronic DiseaseHospitalizationNursing. Tomada de decisão clínicaDoença crônicaHospitalizaçãoEnfermagem. Toma de decisiones clínicasEnfermedad crónicaHospitalizaciónEnfermería.Objective: to know the perception of nurses about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases. Methodology: exploratory-descriptive study, with a qualitative approach. It was carried out with nurses working in adult inpatient units of a University Hospital in southern Brazil. Data collection took place from july to december 2018, through semi-structured interviews. The data were analyzed using the Thematic Content Analysis. Results: it was found that the nurses' perception of clinical reasoning was applied (in)consciously in care and management activities. Its purpose was self-reported in the qualification of care, patient comfort and prevention of complications. Conclusion: these findings are believed to be guiding instruments for questioning, analysis, synthesis, interpretation, inference, inductive and deductive reasoning, intuition, application and creativity for nurses' decision-making in care practices for adult hospitalized patients with chronic diseases.Objetivo: conocer la percepción de enfermeros sobre la aplicación y finalidad del razonamiento clínico en la atención de adultos hospitalizados con enfermedades crónicas. Metodología: estudio exploratorio-descriptivo, con abordaje cualitativo. Se llevó a cabo con enfermeros que trabajaban en unidades de hospitalización de adultos de un Hospital Universitario, en el sur de Brasil. La recolección de datos se realizó de julio a diciembre de 2018, a través de entrevistas semiestructuradas. Los datos se analizaron mediante el análisis de contenido temático. Resultados: se encontró que la percepción de los enfermeros sobre el razonamiento clínico se aplicó (in)conscientemente en las actividades de atención y gestión. Su propósito fue autoinformado en la calificación de la atención, la comodidad del paciente y la prevención de complicaciones. Conclusión: se cree que estos hallazgos son instrumentos rectores de cuestionamiento, análisis, síntesis, interpretación, inferencia, razonamiento inductivo y deductivo, intuición, aplicación y creatividad para la toma de decisiones del enfermero en las prácticas asistenciales de pacientes adultos hospitalizados con enfermedades crónicas.Objetivo: conhecer a percepção de enfermeiros acerca da aplicação e finalidade do raciocínio clínico no cuidado ao adulto hospitalizado com doenças crônicas. Metodologia: estudo exploratório-descritivo, com abordagem qualitativa. Foi realizado com enfermeiros atuantes em unidades de internação adulto de um Hospital Universitário, no sul do Brasil. A coleta de dados ocorreu no período de julho a dezembro de 2018, por meio de entrevistas semiestruturadas. Os dados foram analisados por meio da Análise Temática de Conteúdo. Resultados: constatou-se que a percepção do raciocínio clínico de enfermeiros aplicou-se de forma (in)consciente nas atividades assistenciais e gerenciais. Sua finalidade foi autorreferida na qualificação do cuidado, conforto do paciente e prevenção de complicações. Conclusão: acredita-se que esses achados sejam instrumentos norteadores para o questionamento, análise, síntese, interpretação, inferência, raciocínio indutivo e dedutivo, intuição, aplicação e criatividade para tomada de decisão do enfermeiro nas práticas cuidativas ao paciente adulto hospitalizado com doenças crônicas.Research, Society and Development2020-11-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/990710.33448/rsd-v9i11.9907Research, Society and Development; Vol. 9 No. 11; e3769119907Research, Society and Development; Vol. 9 Núm. 11; e3769119907Research, Society and Development; v. 9 n. 11; e37691199072525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/9907/8885Copyright (c) 2020 Adrieli dos Santos Quaresma; Daiani Modernel Xavier; Clarice Alves Bonow; Marta Regina Cezar-Vazhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessQuaresma, Adrieli dos SantosXavier, Daiani ModernelBonow, Clarice AlvesCezar-Vaz, Marta Regina2020-12-10T23:37:57Zoai:ojs.pkp.sfu.ca:article/9907Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:32:04.998964Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Nurses' perception about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases
Percepción de enfermeros sobre la aplicación y finalidad del razonamiento clínico en la atención de adultos hospitalizados con enfermedades crónicas
Percepção de enfermeiros acerca da aplicação e finalidade do raciocínio clínico no cuidado ao adulto hospitalizado com doenças crônicas
title Nurses' perception about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases
spellingShingle Nurses' perception about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases
Quaresma, Adrieli dos Santos
Clinical Decision-Making
Chronic Disease
Hospitalization
Nursing.
Tomada de decisão clínica
Doença crônica
Hospitalização
Enfermagem.
Toma de decisiones clínicas
Enfermedad crónica
Hospitalización
Enfermería.
title_short Nurses' perception about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases
title_full Nurses' perception about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases
title_fullStr Nurses' perception about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases
title_full_unstemmed Nurses' perception about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases
title_sort Nurses' perception about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases
author Quaresma, Adrieli dos Santos
author_facet Quaresma, Adrieli dos Santos
Xavier, Daiani Modernel
Bonow, Clarice Alves
Cezar-Vaz, Marta Regina
author_role author
author2 Xavier, Daiani Modernel
Bonow, Clarice Alves
Cezar-Vaz, Marta Regina
author2_role author
author
author
dc.contributor.author.fl_str_mv Quaresma, Adrieli dos Santos
Xavier, Daiani Modernel
Bonow, Clarice Alves
Cezar-Vaz, Marta Regina
dc.subject.por.fl_str_mv Clinical Decision-Making
Chronic Disease
Hospitalization
Nursing.
Tomada de decisão clínica
Doença crônica
Hospitalização
Enfermagem.
Toma de decisiones clínicas
Enfermedad crónica
Hospitalización
Enfermería.
topic Clinical Decision-Making
Chronic Disease
Hospitalization
Nursing.
Tomada de decisão clínica
Doença crônica
Hospitalização
Enfermagem.
Toma de decisiones clínicas
Enfermedad crónica
Hospitalización
Enfermería.
description Objective: to know the perception of nurses about the application and purpose of clinical reasoning in the care of hospitalized adults with chronic diseases. Methodology: exploratory-descriptive study, with a qualitative approach. It was carried out with nurses working in adult inpatient units of a University Hospital in southern Brazil. Data collection took place from july to december 2018, through semi-structured interviews. The data were analyzed using the Thematic Content Analysis. Results: it was found that the nurses' perception of clinical reasoning was applied (in)consciously in care and management activities. Its purpose was self-reported in the qualification of care, patient comfort and prevention of complications. Conclusion: these findings are believed to be guiding instruments for questioning, analysis, synthesis, interpretation, inference, inductive and deductive reasoning, intuition, application and creativity for nurses' decision-making in care practices for adult hospitalized patients with chronic diseases.
publishDate 2020
dc.date.none.fl_str_mv 2020-11-18
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/9907
10.33448/rsd-v9i11.9907
url https://rsdjournal.org/index.php/rsd/article/view/9907
identifier_str_mv 10.33448/rsd-v9i11.9907
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/9907/8885
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 11; e3769119907
Research, Society and Development; Vol. 9 Núm. 11; e3769119907
Research, Society and Development; v. 9 n. 11; e3769119907
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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